Immunomodulation of endothelial cells induced by macrolide therapy in a model of septic stimulation

Abstract Objectives Sepsis is defined as the host's inflammatory response to a life‐threatening infection. The endothelium is implicated in immunoregulation during sepsis. Macrolides have been proposed to display immunomodulatory properties. The goal of this study was to analyze whether macroli...

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Main Authors: Stéphanie Pons, Eden Arrii, Marine Arnaud, Maud Loiselle, Juliette Ferry, Manel Nouacer, Julien Lion, Shannon Cohen, Nuala Mooney, Lara Zafrani
Format: Article
Language:English
Published: Wiley 2021-12-01
Series:Immunity, Inflammation and Disease
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Online Access:https://doi.org/10.1002/iid3.518
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author Stéphanie Pons
Eden Arrii
Marine Arnaud
Maud Loiselle
Juliette Ferry
Manel Nouacer
Julien Lion
Shannon Cohen
Nuala Mooney
Lara Zafrani
author_facet Stéphanie Pons
Eden Arrii
Marine Arnaud
Maud Loiselle
Juliette Ferry
Manel Nouacer
Julien Lion
Shannon Cohen
Nuala Mooney
Lara Zafrani
author_sort Stéphanie Pons
collection DOAJ
description Abstract Objectives Sepsis is defined as the host's inflammatory response to a life‐threatening infection. The endothelium is implicated in immunoregulation during sepsis. Macrolides have been proposed to display immunomodulatory properties. The goal of this study was to analyze whether macrolides can exert immunomodulation of endothelial cells (ECs) in an experimental model of sepsis. Methods Human ECs were stimulated by proinflammatory cytokines and lipopolysaccharide before exposure to macrolides. ECs phenotypes were analyzed by flow cytometry. Cocultures of ECs and peripheral blood mononuclear cells (PBMCs) were performed to study the ECs ability to alter T‐cell viability and differentiation in the presence of macrolides. Soluble factor production was assessed. Results ECs act as non‐professional antigen presenting cells and expressed human leukocyte antigen (HLA) antigens, the adhesion molecules CD54, CD106, and the coinhibitory molecule CD274 after septic stimulation. Incubation with macrolides induced a significant decrease of HLA class I and HLA class II HLA‐DR on septic‐stimulated ECs, but did not alter either CD54, CD106, nor CD274 expression. Interleukin‐6 (IL‐6) and IL‐8 production by stimulated ECs were unaltered by incubation with macrolides, whereas Clarithromycin exposure significantly decreased IL‐6 gene expression. In cocultures of septic ECs with PBMCs, neither the proportion of CD4 + , CD8 + T nor their viability was altered by macrolides. T‐helper lymphocyte subsets Th1, Th17, and Treg polarization by stimulated ECs were unaltered by macrolides. Conclusion This study reports phenotypic and gene expression changes in septic‐stimulated ECs exposed to macrolides, without resulting in altered immunogenicity of ECs in co‐cultures with PBMCs. In vivo studies may help to further understand the impact of macrolide therapy on ECs immune homeostasis during sepsis.
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spelling doaj-art-2d6405c662544f71bfa0f420c3450e132025-08-20T03:58:37ZengWileyImmunity, Inflammation and Disease2050-45272021-12-01941656166910.1002/iid3.518Immunomodulation of endothelial cells induced by macrolide therapy in a model of septic stimulationStéphanie Pons0Eden Arrii1Marine Arnaud2Maud Loiselle3Juliette Ferry4Manel Nouacer5Julien Lion6Shannon Cohen7Nuala Mooney8Lara Zafrani9Human Immunology, Pathophysiology, Immunotherapy (HIPI), INSERM U976 Université de Paris Paris FranceHuman Immunology, Pathophysiology, Immunotherapy (HIPI), INSERM U976 Université de Paris Paris FranceHuman Immunology, Pathophysiology, Immunotherapy (HIPI), INSERM U976 Université de Paris Paris FranceHuman Immunology, Pathophysiology, Immunotherapy (HIPI), INSERM U976 Université de Paris Paris FranceHuman Immunology, Pathophysiology, Immunotherapy (HIPI), INSERM U976 Université de Paris Paris FranceHuman Immunology, Pathophysiology, Immunotherapy (HIPI), INSERM U976 Université de Paris Paris FranceHuman Immunology, Pathophysiology, Immunotherapy (HIPI), INSERM U976 Université de Paris Paris FranceHuman Immunology, Pathophysiology, Immunotherapy (HIPI), INSERM U976 Université de Paris Paris FranceHuman Immunology, Pathophysiology, Immunotherapy (HIPI), INSERM U976 Université de Paris Paris FranceHuman Immunology, Pathophysiology, Immunotherapy (HIPI), INSERM U976 Université de Paris Paris FranceAbstract Objectives Sepsis is defined as the host's inflammatory response to a life‐threatening infection. The endothelium is implicated in immunoregulation during sepsis. Macrolides have been proposed to display immunomodulatory properties. The goal of this study was to analyze whether macrolides can exert immunomodulation of endothelial cells (ECs) in an experimental model of sepsis. Methods Human ECs were stimulated by proinflammatory cytokines and lipopolysaccharide before exposure to macrolides. ECs phenotypes were analyzed by flow cytometry. Cocultures of ECs and peripheral blood mononuclear cells (PBMCs) were performed to study the ECs ability to alter T‐cell viability and differentiation in the presence of macrolides. Soluble factor production was assessed. Results ECs act as non‐professional antigen presenting cells and expressed human leukocyte antigen (HLA) antigens, the adhesion molecules CD54, CD106, and the coinhibitory molecule CD274 after septic stimulation. Incubation with macrolides induced a significant decrease of HLA class I and HLA class II HLA‐DR on septic‐stimulated ECs, but did not alter either CD54, CD106, nor CD274 expression. Interleukin‐6 (IL‐6) and IL‐8 production by stimulated ECs were unaltered by incubation with macrolides, whereas Clarithromycin exposure significantly decreased IL‐6 gene expression. In cocultures of septic ECs with PBMCs, neither the proportion of CD4 + , CD8 + T nor their viability was altered by macrolides. T‐helper lymphocyte subsets Th1, Th17, and Treg polarization by stimulated ECs were unaltered by macrolides. Conclusion This study reports phenotypic and gene expression changes in septic‐stimulated ECs exposed to macrolides, without resulting in altered immunogenicity of ECs in co‐cultures with PBMCs. In vivo studies may help to further understand the impact of macrolide therapy on ECs immune homeostasis during sepsis.https://doi.org/10.1002/iid3.518antibioticsendotheliumimmunoregulationseptic shockinflammation
spellingShingle Stéphanie Pons
Eden Arrii
Marine Arnaud
Maud Loiselle
Juliette Ferry
Manel Nouacer
Julien Lion
Shannon Cohen
Nuala Mooney
Lara Zafrani
Immunomodulation of endothelial cells induced by macrolide therapy in a model of septic stimulation
Immunity, Inflammation and Disease
antibiotics
endothelium
immunoregulation
septic shock
inflammation
title Immunomodulation of endothelial cells induced by macrolide therapy in a model of septic stimulation
title_full Immunomodulation of endothelial cells induced by macrolide therapy in a model of septic stimulation
title_fullStr Immunomodulation of endothelial cells induced by macrolide therapy in a model of septic stimulation
title_full_unstemmed Immunomodulation of endothelial cells induced by macrolide therapy in a model of septic stimulation
title_short Immunomodulation of endothelial cells induced by macrolide therapy in a model of septic stimulation
title_sort immunomodulation of endothelial cells induced by macrolide therapy in a model of septic stimulation
topic antibiotics
endothelium
immunoregulation
septic shock
inflammation
url https://doi.org/10.1002/iid3.518
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